{"title":"The enduring value of the physical exam to achieve diagnostic excellence.","authors":"Brian T Garibaldi, Stephen W Russell","doi":"10.1515/dx-2026-0145","DOIUrl":null,"url":null,"abstract":"<p><p>Physical examination remains a cornerstone of diagnostic excellence, even in an era dominated by advanced technology. Evidence shows that a well-performed physical exam not only improves diagnostic accuracy but also reduces medical errors, lowers healthcare costs, and strengthens the patient-physician relationship. This article highlights how the physical exam often provides pivotal findings that technology cannot replace. Strengthening bedside skills through intentional practice, evidence-based techniques, and integration of supportive technologies is essential to enhance diagnostic reasoning, mitigate uncertainty, and restore professional fulfillment. This article offers practical, modern strategies to reinvigorate the physical exam, integrating evidence, education, and technology, critical for achieving safer, more effective, and patient-centered care.</p>","PeriodicalId":11273,"journal":{"name":"Diagnosis","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diagnosis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1515/dx-2026-0145","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Physical examination remains a cornerstone of diagnostic excellence, even in an era dominated by advanced technology. Evidence shows that a well-performed physical exam not only improves diagnostic accuracy but also reduces medical errors, lowers healthcare costs, and strengthens the patient-physician relationship. This article highlights how the physical exam often provides pivotal findings that technology cannot replace. Strengthening bedside skills through intentional practice, evidence-based techniques, and integration of supportive technologies is essential to enhance diagnostic reasoning, mitigate uncertainty, and restore professional fulfillment. This article offers practical, modern strategies to reinvigorate the physical exam, integrating evidence, education, and technology, critical for achieving safer, more effective, and patient-centered care.
期刊介绍:
Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality. Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error